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354 Seminole Rd ACRS20-0076 v''`'`%i, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER PERMIT ACRS20-0076 \r\ � puri CITY OF ATLANTIC BEACH ISSUED: 3/16/2020 EXPIRES: 9/12/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: MECHANICAL RESIDENTIAL 354 SEMINOLE ROAD HVAC HVAC - 1 A/C, 1 AHU, 2 TON $4997.00 TYPE OF REAL ESTATE j ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: COMPANY: ADDRESS: CITY: STATE: ZIP: Buehler Air Conditioning 207 20th ST N JACKSONVILLE FL 32250 BEACH OWNER: ADDRESS: CITY: STATE: ZIP: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF CONDITIONS Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AC AND REFRIGERATION 455-0000-322-1000 2 $16.00 FURNACES AND HEATING 455-0000-322-1000 24000 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $99.00 Issued Date:3/16/2020 1 of 2 sW.Irr, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER Js , ,f PERMIT ACRS20-0076 0�� " ISSUED: 3/16/2020 `JS31�� CITY OF ATLANTIC BEACH EXPIRES: 9/12/2020 l Issued Date:3/16/2020 2 of 2 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 RPh(904) 247-5826 Fax(904)247-5845 Re ps 20 _cDc7 JOB ADDRESS: 354 Seminole Rd, Atlantic Beach, FL 32233 PERMIT# (� • PROJECT VALUE $ 4997.00 ARI# 204837707. REQUIRED Air Handling Equipment Only x Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity 1 Tons Per Unit 2 Heat: Unit Quantity 1 BTU's Per Unit 24,000 Seer Rating 14.5 Duct Systems: Total CFM 0 REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser ' BTU's #Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Doug Speed Phone Number 904-654-4244 Mechanical Company Buehler Air Conditioning Office Phone 904-233-8831 Fax 904-485-8788 Co.Address: 207 20th Street N City Jacksonville Beach State FL Zip 32250 License Holder(Print): Jason Buehler State Certification/Registration# CAC 1816716 Notarized Signature of License Holder A).• 1- , / —_ —— — — — — - Before ir this 13th day of March 2020 =� Y''u KURT EICHMANN • Notary Pub Ic-State of Florida Signature of NotaryPublic G�t-- �►'IA � ��`- Commission M GG 267633 g �� '.?;o'r, . My Comm.Expires Oct 15,2022 Bonded through National Notary Assn. , r �r� i Cash Register Receipt Receipt Number '� City of Atlantic Beach R11996 ,31�/L1 DESCRIPTION I ACCOUNT I QTY PAID PermitTRAK $99.00 ACRS20-0076 Address: 354 SEMINOLE ROAD APN: $99.00 MECHANICAL $95.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 2 $16.00 FURNACES AND HEATING 455-0000-322-1000 24000 $24.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R11996 $99.00 Date Paid: Monday, March 16, 2020 Paid By: Buehler Air Conditioning Cashier: CT Pay Method: CREDIT CARD 8 Printed: Monday, March 16, 2020 1:53 PM 1 of 1